A research study in Bosnia and Herzegovina to test the acceptability and feasibility of an intervention called DIALOG+, adapted to improve care for people in primary care with poor physical and mental health

Conditions

Chronic conditions such as diabetes, hypertension, chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD) Other

Selak N, Sikira H, Kiseljaković M, van Loggerenberg F, Priebe S, Kulenović AD.

2025-06-07

10.1186/s12875-025-02845-7

Feasibility and outcomes of using DIALOG+ in primary care to improve quality of life and mental distress of patients with long-term physical conditions: an exploratory non-controlled study in Bosnia and Herzegovina, Colombia and Uganda.

van Loggerenberg F, Akena D, Alinaitwe R, Birabwa-Oketcho H, Méndez CAC, Gómez-Restrepo C, Kulenović AD, Selak N, Kiseljaković M, Musisi S, Nakasujja N, Sewankambo NK, Priebe S.

2023-11-163 citations

10.1186/s12875-023-02197-0

Feasibility, experiences and outcomes of using DIALOG+ in primary care to improve quality of life and mental distress of patients with chronic conditions: an exploratory non-controlled trial in Bosnia and Herzegovina, Colombia and Uganda.

van Loggerenberg F, McGrath M, Akena D, Birabwa-Oketcho H, Méndez CAC, Gómez-Restrepo C, Džubur Kulenoviĉ A, Muhić M, Sewankambo NK, Sikira H, Priebe S.

2021-09-307 citations

10.1186/s40814-021-00914-z

Interventions

DIALOG+ is a technology-mediated intervention which involves a structured patient assessment covering satisfaction with eight life domains and three treatment domains (DIALOG scale) and a four-step so

including barriers and facilitators of attending intervention sessions, suggested adaptations and the practical delivery of the intervention. In addition to the research data collection described abo

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Diagnosis of =1 common chronic condition such as diabetes, hypertension, COPD, CVD, etc 2. Quality of life score measured on the MANSA =5 3. Capacity to provide informed consent 4. Able to speak and understand the local language 5. Attending the outpatient clinic for at least 6 months 6. Live within a 20 km radius of the clinic 7. Aged 18-65 years old

Exclusion criteria

Exclusion criteria: 1. Unable or unwilling to provide informed consent 2. Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
1. Quality of life measured using the Manchester Short Assessment (MANSA) at baseline and 3 months 2. Depression measured using the Patient Health Questionnaire (PHQ-9) at baseline and 3 months 3. Anxiety measured using Generalised Anxiety Disorder assessment (GAD-7) at baseline and 3 months 4. Objective social functioning measured using objective social outcomes index (SIX) at baseline and 3 months 5. Physical health symptoms measured using The Short Form (36) Health Survey (SF-36) at baseline and 3 months	—

Measure

Time frame

1. Quality of life measured using the Manchester Short Assessment (MANSA) at baseline and 3 months 2. Depression measured using the Patient Health Questionnaire (PHQ-9) at baseline and 3 months 3. Anxiety measured using Generalised Anxiety Disorder assessment (GAD-7) at baseline and 3 months 4. Objective social functioning measured using objective social outcomes index (SIX) at baseline and 3 months 5. Physical health symptoms measured using The Short Form (36) Health Survey (SF-36) at baseline and 3 months

—

Secondary

Measure	Time frame
There are no secondary outcome measures	—

Countries

Bosnia and Herzegovina

Contacts

Public ContactFrancois van Loggerenberg

f.vanloggerenberg@qmul.ac.uk+44 (0)20 540 4380 Ext: 2344

Outcome results

None listed